Information Collection

Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788)

IC 28944 under ICR 202009-2900-019 · OMB 2900-0666.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0666 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21-0788 Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788)	Form
21-0788 Information Regarding Apportionment of Beneficiary's Awa VA Form 21-0788 (OMB Exp. 3-31-21).pdf www.va.gov/vaforms	Form

IC Title:

Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788)

Agency IC Tracking Number:

2900-0666

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.452 38 CFR 3.453 38 CFR 3.454 38 CFR 3.451 38 CFR 3.458 38 CFR 3.450 38 CFR 3.459 38 CFR 3.460 38 CFR 3.461

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21-0788	Information Regarding Apportionment of Beneficiary's Award	VA Form 21-0788 (OMB Exp. 3-31-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)

FR Citation: 84 FR 4138

Number of Respondents: 3,211

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,211	-21,789	25,000
Annual IC Time Burden (Hours)	1,606	-10,894	12,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.